Sys Rev Pharm 2020;11(7):228-231 A multifaceted review journal in the field of pharmacy Preventing Fraud and Deficit Through The Optimization of Health Insurance In Indonesia Sri Sunarti1, MT Ghozali2, Fahni Haris3,4, Ferry Fadzlul Rahman1,4*, Rofi Aulia Rahman5, Ghozali1 1 Department of Public Health, Universitas Muhammadiyah Kalimantan Timur; Indonesia 2 School of Pharmacy, Universitas Muhammadiyah Yogyakarta; Indonesia 3School of Nursing, Universitas Muhammadiyah Yogyakarta; Indonesia 4Department Healthcare Administration Asia University; Taiwan 5Department of Financial and Economic Law, Asia University; Taiwan *Corresponding Author: Ferry Fadzlul Rahman, Email:
[email protected] ABSTRACT BPJS Kesehatan (Indonesian Health Insurance System) has been experiencing Keywords: BPJS Kesehatan, Fraud and Deficit, Healthcare System, a severe problem for many years that BPJS Kesehatan has been suffering a Supervisory System huge deficit. That situation is getting worse and taking a negative impact on hospitals, medical practitioners, and patients itself. The more severe problem Correspondence: felt by a patient who needs special treatment and medication. Due to the Ferry Fadzlul Rahman deficit of the BPJS Kesehatan budget, some hospitals owe some money to the 1 Department of Public Health, Universitas Muhammadiyah Kalimantan pharmaceutical company to buy some medicines. However, they cannot buy Timur; Indonesia the medication because they have no budget. This study is to explain and Email:
[email protected] compare with the National Health Insurance System in Taiwan to resolve the problems within BPJS Kesehatan in Indonesia, notably on the supervisory system between 2 (two) countries. The method used in this study is the Systematic Literature Review (SLR) method with qualitative approval from secondary data in approving, reviewing, evaluating, and research supporting all available research in 2015-2020.